Active NPI
Choudrant Primary Care LLC
- Rural Health Clinic/Center
- Choudrant, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rural Health Clinic/Center
- Legal business name
- CHOUDRANT PRIMARY CARE LLC
- Practice address
- 3845 Elm St Ste 3
Choudrant, LA 71227-3017 - Phone
- (318) 695-9200
- NPI assigned
- Feb 19, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jennifer S. Juneau, APRN, CNP
- Title
- Owner
- Phone
- (318) 695-9200
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rural Health Clinic/Center | 261QR1300X | Primary | ||
| Family Nurse Practitioner | 363LF0000X |
Addresses
Primary practice location
3845 Elm St Ste 3
Choudrant, LA 71227-3017
Mailing address
216 Loblolly LN
Choudrant, LA 71227-4804
Other names 1
- Choudrant Primary Care
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
Enrollment records 2
Rural health clinic certification: CCN 198937
- Legal name
- CHOUDRANT PRIMARY CARE LLC
- Certification status
- Active
- Provider type (POS)
- Rural health clinic
- Participating since
- Dec 29, 2025
- Last certification
- Dec 29, 2025
- Ownership / control type
- 1B
- Organization structure
- LLC
- Incorporated
- Jan 23, 2024 in LA
- Enrollment address
- 3845 Elm St
Ste 3
Choudrant, LA 71227-3017
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 19D2303160 | Choudrant Primary Care LLC | Certificate of waiver | Apr 21, 2028 |
National Provider Directory
National Provider DirectoryLocations
3845 Elm St
Ste 3
Choudrant, LA 71227
Phone (318) 695-9200
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/EBIHDD
Ownership & related parties
All disclosed owners & managing parties 2
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Jennifer S Juneau | 5% Or Greater Direct Ownership Interest | Sep 19, 2024 | 100% |
| W-2 Managing Employee | Sep 19, 2024 | 100% | |
| Johnny Juneau | Operational/Managerial Control | Sep 19, 2024 | 100% |
Owners & managing parties with NPI records 1
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Family Nurse Practitioner
- Ruston, LA
- NPI 1285981068
5% Or Greater Direct Ownership Interest, W-2 Managing Employee
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- Ruston, LA
- NPI 1285981068
-
- Family Nurse Practitioner
- Choudrant, LA
- NPI 1255146585
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1708300800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1726790400000",
"number": "1962267922",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "216 LOBLOLLY LN",
"city": "CHOUDRANT",
"state": "LA",
"postal_code": "712274804"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3845 ELM ST STE 3",
"city": "CHOUDRANT",
"state": "LA",
"postal_code": "712273017",
"telephone_number": "318-695-9200"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHOUDRANT PRIMARY CARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-02-19",
"last_updated": "2024-09-20",
"certification_date": "2024-09-20",
"status": "A",
"authorized_official_last_name": "JUNEAU",
"authorized_official_first_name": "JENNIFER",
"authorized_official_middle_name": "S.",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "318-695-9200",
"authorized_official_credential": "APRN, CNP"
},
"taxonomies": [
{
"code": "261QR1300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rural Health",
"state": null,
"license": null,
"primary": true
},
{
"code": "363LF0000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Choudrant Primary Care",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Choudrant, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.